Blue Oak Counseling Services, Inc.
NPI #1902418163 in Ontario, California
Provider Information
- NPI Number
- 1902418163
- Entity Type
- Organization
- Organization Name
- Blue Oak Counseling Services, Inc.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 19, 2020
- Last Updated
- Aug 19, 2020
Practice Location
- Address
- 3200 GUASTI RD #100
- City
- Ontario
- State
- California
- ZIP Code
- 91761
- Phone
- (909) 306-8686
Authorized Official
- Name
- MRS. TINA TANGTHEINKUL AVILA, LMFT
- Title
- CEO
- Phone
- (909) 306-8686
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